NPI 1053692723

Angelique Blackburn

Practitioner Community Health Worker Henderson, NV

Practice location

Address: 2470 Aladdin Lamp St, Henderson, NV 89002-9375
Phone: (702) 439-1677
Fax: (702) 430-8288

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Nevada →

Registry record

NPI: 1053692723
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2011
Record last updated: 7 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.